Monitoring of Intentional Self-Harm as a Tool to Detect Mental Disorders and Improve Access to Psychiatric Care
BACKGROUND: This article discusses the early diagnosis of mental disorders in connection with non-fatal intentional self-harm and suicide prevention. AIM: To substantiate the efficacy of an intentional self-harm monitoring system as a tool for detecting mental disorders and improving access to ps...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Eco-Vector
2022-07-01
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| Series: | Consortium Psychiatricum |
| Subjects: | |
| Online Access: | https://consortium-psy.com/jour/article/viewFile/181/pdf |
| _version_ | 1818110836493778944 |
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| author | Oleg I. Boev Olga G. Bychkova |
| author_facet | Oleg I. Boev Olga G. Bychkova |
| author_sort | Oleg I. Boev |
| collection | DOAJ |
| description | BACKGROUND: This article discusses the early diagnosis of mental disorders in connection with non-fatal intentional self-harm and suicide prevention.
AIM: To substantiate the efficacy of an intentional self-harm monitoring system as a tool for detecting mental disorders and improving access to psychiatric care for people who have attempted suicide.
METHODS: A cohort study was performed using materials obtained after the introduction of an intentional self-harm monitoring system and its implementation in the Stavropol Territory. We studied 2738 cases of intentional self-harm reported between 2016 and 2021. Study data were grouped using dual criteria based on a history of psychiatric follow-up, a history of psychiatric counseling, first/recurrent intentional self-harm, psychiatric examination after intentional self-harm, and a diagnosis of a mental disorder on psychiatric examination.
RESULTS: The official suicide attempt registration system was found to identify less than 15% of attempts. The primary incidence of mental disorders in suicide attempters was 61.4 times higher than the primary incidence of mental disorders in the general population of the Stavropol Territory. A supposedly healthy suicide attempter was 169 times more likely to be diagnosed with a mental disorder than a member of the general population. Primary diagnoses of mental disorders were 14.8 times more common in multiple suicide attempters without a diagnosis of a mental disorder at the time of the last attempt than in first-time attempters. Access to psychiatric care increases the mental disorder diagnosis rate in general and in suicide attempters in particular.
CONCLUSION: Monitoring of intentional self-harm is instrumental in the early diagnosis of mental disorders, suicide prevention, and improving access to psychiatric care for suicide attempters, also having an enormous research potential. |
| first_indexed | 2024-12-11T02:53:29Z |
| format | Article |
| id | doaj.art-3fbcb7dcf3ae488d8d6ddccb638aac90 |
| institution | Directory Open Access Journal |
| issn | 2712-7672 2713-2919 |
| language | English |
| last_indexed | 2024-12-11T02:53:29Z |
| publishDate | 2022-07-01 |
| publisher | Eco-Vector |
| record_format | Article |
| series | Consortium Psychiatricum |
| spelling | doaj.art-3fbcb7dcf3ae488d8d6ddccb638aac902022-12-22T01:23:13ZengEco-VectorConsortium Psychiatricum2712-76722713-29192022-07-0132606810.17816/CP18175Monitoring of Intentional Self-Harm as a Tool to Detect Mental Disorders and Improve Access to Psychiatric CareOleg I. Boev0https://orcid.org/0000-0003-0881-3383Olga G. Bychkova1https://orcid.org/0000-0002-9865-0540Stavropol State Medical University of the Ministry of Health of the Russian FederationStavropol Territorial Clinical Specialized Psychiatric Hospital No. 1BACKGROUND: This article discusses the early diagnosis of mental disorders in connection with non-fatal intentional self-harm and suicide prevention. AIM: To substantiate the efficacy of an intentional self-harm monitoring system as a tool for detecting mental disorders and improving access to psychiatric care for people who have attempted suicide. METHODS: A cohort study was performed using materials obtained after the introduction of an intentional self-harm monitoring system and its implementation in the Stavropol Territory. We studied 2738 cases of intentional self-harm reported between 2016 and 2021. Study data were grouped using dual criteria based on a history of psychiatric follow-up, a history of psychiatric counseling, first/recurrent intentional self-harm, psychiatric examination after intentional self-harm, and a diagnosis of a mental disorder on psychiatric examination. RESULTS: The official suicide attempt registration system was found to identify less than 15% of attempts. The primary incidence of mental disorders in suicide attempters was 61.4 times higher than the primary incidence of mental disorders in the general population of the Stavropol Territory. A supposedly healthy suicide attempter was 169 times more likely to be diagnosed with a mental disorder than a member of the general population. Primary diagnoses of mental disorders were 14.8 times more common in multiple suicide attempters without a diagnosis of a mental disorder at the time of the last attempt than in first-time attempters. Access to psychiatric care increases the mental disorder diagnosis rate in general and in suicide attempters in particular. CONCLUSION: Monitoring of intentional self-harm is instrumental in the early diagnosis of mental disorders, suicide prevention, and improving access to psychiatric care for suicide attempters, also having an enormous research potential.https://consortium-psy.com/jour/article/viewFile/181/pdfpreventionsuicidemonitoringself-harmpsychiatric disorders |
| spellingShingle | Oleg I. Boev Olga G. Bychkova Monitoring of Intentional Self-Harm as a Tool to Detect Mental Disorders and Improve Access to Psychiatric Care Consortium Psychiatricum prevention suicide monitoring self-harm psychiatric disorders |
| title | Monitoring of Intentional Self-Harm as a Tool to Detect Mental Disorders and Improve Access to Psychiatric Care |
| title_full | Monitoring of Intentional Self-Harm as a Tool to Detect Mental Disorders and Improve Access to Psychiatric Care |
| title_fullStr | Monitoring of Intentional Self-Harm as a Tool to Detect Mental Disorders and Improve Access to Psychiatric Care |
| title_full_unstemmed | Monitoring of Intentional Self-Harm as a Tool to Detect Mental Disorders and Improve Access to Psychiatric Care |
| title_short | Monitoring of Intentional Self-Harm as a Tool to Detect Mental Disorders and Improve Access to Psychiatric Care |
| title_sort | monitoring of intentional self harm as a tool to detect mental disorders and improve access to psychiatric care |
| topic | prevention suicide monitoring self-harm psychiatric disorders |
| url | https://consortium-psy.com/jour/article/viewFile/181/pdf |
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